PMID: 18705430Aug 19, 2008Paper

Aetiology, clinical features and treatment outcome of intrauterine adhesion in Ilorin, Central Nigeria

West African Journal of Medicine
O M AbiodunA A Fawole

Abstract

Intrauterine adhesion is a cause of menstrual disorder and reproductive failure. It could be a long term sequelae of unsafe abortion which is a common reproductive health problem in developing countries. To determine the predisposing factors, mode of presentation and outcome of management of intrauterine adhesion in University of Ilorin Teaching Hospital. The record of patients with intrauterine adhesion newly diagnosed and managed in the Hospital over a five-year period was analyzed for their age, parity, predisposing factors, clinical presentation, methods of diagnosis and treatment outcome. A total of 136 patients were newly diagnosed and managed for intrauterine adhesion during the period under review. This constituted 1.3% of new gynaecological patients and 4.0% of consultations for infertility. Endometrial curettage on account of pregnancy complications accounted for 92 (67.6%) patients, and this was mostly for induced abortion. Hypomenorrhoea and secondary amenorrhoea were the commonest presenting menstrual abnormalities occurring in 48 (35.3%) and 53 (39.0%) patients respectively. Normal menstruation resumed in 99 (72.8%) patients following treatment. The incidence of intrauterine adhesion among gynaecological patients ...Continue Reading

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